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General NPI Number Information
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NPI Number | 1629396809
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Entity Type | Organization
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Legal Business Name | MENTORING THE FUTURE INC
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Dates
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Enumeration Date | 05/12/2010
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Last Update Date | 05/12/2010
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Provider Practice Location Address
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Address Line | 1816 GRAYBIRD CT
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City | SEVERN
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State | MD
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Zip | 21144-3130
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Country | US
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Telephone | 410-481-4196
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Fax |
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Provider Business Mailing Address
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Address Line | 1816 GRAYBIRD COURT
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City | SEVERN
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State | MD
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Zip | 21144
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Country | US
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Telephone | 410-481-4196
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / CARE MANAGER
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Name | MRS. CASSANDRA THOMPSON
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Credential |
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Telephone | 410-841-4196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 152825
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License Number State | MD
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